WESTERN BAPTIST MEDICAL VENTURES, INC (NPI# 1942445465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942445465 |
| Entity Type | Organization |
| Organization Name | WESTERN BAPTIST MEDICAL VENTURES, INC |
| Other Organization Name | BAPTISTWORX OF PADUCAH |
| Practice Address |
2605 Kentucky Ave Ste 102 Paducah KY 42003-3800 |
| Mailing Address |
Po Box 7309 Paducah KY 42002-7309 |
| Practice Telephone | 2704154600 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707448642 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |
| Authorized Official Name | LARRY BARTON (VICE PRESIDENT) |
| Authorized Official Telephone | 2705752101 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN BAPTIST MEDICAL VENTRURES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SX0106X |
Clinical Nurse Specialist Specialization: Occupational Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| BAPTISTWORX OF PADUCAH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962832295 | Western Baptist Medical Ventures, Inc | Nurse Practitioner | 2603 Kentucky Ave, Suite 201, Paducah, KY 42003-3814 | 2013-11-22 |
| 1225393721 | Western Baptist Medical Ventures, Inc | Internal Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2012-07-10 |
| 1568699478 | Western Baptist Medical Ventures, Inc | Clinical Nurse Specialist | 2603 Kentucky Ave, Suite 304, Paducah, KY 42003-3814 | 2009-06-18 |
| 1922243054 | Western Baptist Medical Ventures, Inc | Family Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2008-12-03 |
| 1821280967 | Western Baptist Medical Ventures, Inc | Surgery | 2603 Kentucky Ave, Suite 103, Paducah, KY 42003-3814 | 2007-08-13 |
| 1073703054 | Western Baptist Medical Ventures, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2007-07-26 |
| Street Address |
2605 KENTUCKY AVE STE 102 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 364SX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Occupational Health |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.